Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $97.81 / $140.15	Facility		$75.20	$97.81	$140.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $110.62 / $250.04	Professional		$75.20	$110.62	$250.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $115.39 / $159.33	Professional		$91.98	$115.39	$159.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $107.12 / $160.77	Professional		$72.84	$107.12	$160.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $112.54 / $164.48	Facility		$86.57	$112.54	$164.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $130.88 / $175.27	Professional		$103.02	$130.88	$175.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $123.62 / $204.58	Professional		$85.82	$123.62	$204.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $100.83 / $136.12	Professional		$76.54	$100.83	$136.12
United Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $121.92 / $205.80	Professional		$100.60	$121.92	$205.80